Active NPI
Jeremy Ashton Scarlett, MD
- Pain Medicine (Anesthesiology) Physician
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 51385-020
- Practice address
- 2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174 - Phone
- (920) 204-6758
- Fax
- (888) 720-0495
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 51385-020 | WI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 51385-020 | WI | Primary |
Addresses
Primary practice location
2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174
Mailing address
Dept CH 17057
Palatine, IL 60055-7057
Phone (920) 204-6758
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35113200 | Medicaid | WI | |
| 201011103 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jscarlett12090@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Michigan Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Gateway CT
Suite 100
West Bend, WI 53095-8541
Phone (414) 455-1153
1249 W Liebau Rd
Suite 200
Mequon, WI 53092-3398
Phone (833) 821-7246
2124 Kohler Memorial Dr
Suite 110
Sheboygan, WI 53081-3169
2124 Kohler Memorial Dr
Suite 110
Sheboygan, WI 53081-3174
Phone (414) 455-1153
Hospital & facility affiliations
- St Nicholas Hospital
- Froedtert Memorial Lutheran Hospital
- Aurora Medical Ctr Manitowoc County
- Ascension Columbia St Marys Hospital Milwaukee
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.02 of 100
- Quality
- 82.89
- Improvement activities
- 40
- Cost
- 74.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51385-020 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management, SC | Current | Accepting new patients | |
| Wisconsin Spine and Pain SC | Current | Accepting new patients | |
| Advanced Pain Management SC | Current | Accepting new patients | |
| Wisconsin Spine and Pain SC | Current | Accepting new patients | |
| Madison Surgicenter LLC | Past | Accepting new patients | |
| Advanced Pain Treatment of Chicago SC | Past | Accepting new patients | |
| Spine Solutions of Green Bay LLC | Past | Accepting new patients | |
| Spine Solutions of West Bend LLC | Past | Accepting new patients |
Locations
Dept CH 17057
Palatine, IL 60055
1616 N Casaloma Dr
#100
Appleton, WI 54913
5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055
2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246
1249 W Liebau Rd
Ste 200
Mequon, WI 53092
Phone (833) 821-7246
4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713
4216 S Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 598-7246
2124 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 452-7246
2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246
2124 Kohler Memorial Dr
Ste 100
Sheboygan, WI 53081
Phone (920) 452-7246
N14W23800 Stone Ridge Dr
Ste 120
Waukesha, WI 53188
2607 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 446-9981
959 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 955-7246
1000 Gateway Ct
Ste 100
West Bend, WI 53095
1000 Gateway Ct
Ste 200
West Bend, WI 53095
Interoperability endpoints
- jscarlettmd32297@direct.froedtert.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Sheboygan, WI
- NPI 1790309276
-
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1700693884
-
- Durable Medical Equipment & Medical Supplies
- West Bend, WI
- NPI 1811704992
-
- Pain Medicine Physician
- Greenfield, WI
- NPI 1770506669
-
- Durable Medical Equipment & Medical Supplies
- Appleton, WI
- NPI 1285452391
-
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
- NPI 1669832655
-
- Ambulatory Surgical Clinic/Center
- Madison, WI
- NPI 1386387116
-
- Interventional Pain Medicine Physician
- Munster, IN
- NPI 1942818109
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sheboygan, WI
- NPI 1427009992
Hospital
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1992737589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT CH 17057",
"city": "PALATINE",
"state": "IL",
"postal_code": "600557057",
"telephone_number": "920-204-6758",
"fax_number": "888-720-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 KOHLER MEMORIAL DR STE 110",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813174",
"telephone_number": "920-204-6758",
"fax_number": "888-720-0495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARLETT",
"first_name": "JEREMY",
"middle_name": "ASHTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "51385-020",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WI",
"license": "51385-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35113200",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201011103",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jscarlett12090@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2124 Kohler Memorial Dr Ste 110",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530813174",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.